— 基本照護與舒適 · EASY · MCQ —
護理師協助行動受限的病人從床轉移到椅子。為確保安全的身體力學，護理師應採取何種行動？
A nurse is assisting a client with mobility limitations in transferring from the bed to a chair. Which action should the nurse take to ensure safe body mechanics?
- ALock the client's knees between the nurse's knees將病人的膝蓋夾在護理師的膝蓋之間
- BKeep the feet close together to increase stability雙腳併攏以增加穩定性
- CBend at the waist to maintain close contact with the client彎腰以保持與病人緊密接觸
- DPivot the feet rather than twisting the torso✓ 正解旋轉雙腳而非扭轉軀幹
— Explanation · 中文詳解 —
轉移位時，旋轉軀幹會導致脊椎壓力過大，甚至造成護理師腰部拉傷。正確技巧是將重心置於雙腳之間，並透過腳部旋轉（pivot）來轉換方向，而非扭轉上半身。彎腰（C）、雙腳併攏（B）及鎖住膝蓋（A）皆違反身體力學原則。
During a transfer, twisting the torso places excessive stress on the spine and may cause lumbar strain in the nurse. The correct technique is to keep the center of gravity between both feet and change direction by pivoting the feet rather than twisting the upper body. Bending at the waist (C), keeping the feet together (B), and locking the knees (A) all violate principles of body mechanics.
✦ 台美臨床差異
美台護理教育均極度重視身體力學，但在高工作量環境下，台灣護理師較常使用輔具以減少人工搬運需求。